Individual
MR. BRIAN LAYNE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3840 BELFORT RD, #102, JACKSONVILLE, FL 32216-8207
(904) 371-4051
(888) 745-5445
Mailing address
PMB 321, 4320 DEERWOOD LAKE PKWY #101, JAX, FL 32216
(904) 371-4051
(888) 745-5445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME88496
FL
Other
Enumeration date
06/23/2006
Last updated
11/22/2016
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